12-0871 (DEMO)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 e(Pa"
Application Number:12-000.00871
Property Address: 4-687.0—CAME_ O PALMS DR
APN: 643-194-006-61' -2117 -
Application description: DEMO - COMML/OTHER
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 0
Applicant: Architect or Engineer:
�1
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: • License No.:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
a y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•:
() I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ ) I am exempt under Sec. , B.&P.C. for this reason
Date:
v CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: /y
Lender's Address:
LQPERMIT
Owner:
MARK RICONOSC11T
Ta:
OF
LA QUINTA
Date: 8/03/12
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier Policy Number
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of th Labor CVellII forthwi ti'comp ith t rovisions.
gate: �" • tom%• itpplicant:
WARNING: FAILURE TO SECURE RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or.omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city !nd county ordinances and state laws relating to building con truction, a d hereb authorize representatives
of tK county to enter upo the above-mentioned property for ' -'action pose
ate: t� (ZSi ature (Applicant or Agent):
Application Number . . . . . 12-0.0000871
Permit . . . DEMO PERMIT
Additional desc .
Permit Fee 45.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 0
Expiration Date 1/30/13
Qty Unit Charge Per
Extension
BASE
FEE
45.00
----------------------------------------------------------------------------
Special Notes and Comments
DEMO TO REMOVE UNPERMITTED PATIO
COVERS,
PER CODE COMPLIANCE CASE #11-6355
(JM).
Fee summary Charged
---------------------------
Paid Credited
----------
Due
----------
Permit Fee Total 45.00
----------
.00
.00
45.00
Plan Check Total .00
.00
.00
.00
Grand Total, 45.00
.00
.00
45.00
LQPERMIT
Bin.#
Otjr of La QW : to
Building 8t Safety Division
P.O. Box 1504,78-495 Calle Tampico
U.Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ^
`\
Project Address: (� $ �4 W�
Owner's Name:.
KM,
A. P. Number.
Address:
Legal Description:
Contractor.
City.ST, Zip: `� ��
Telephone:
Address:
Project Description.P*w%4zUQ f.��
�`1M�Ll9�I
City, ST, Zip:
ck' d.
Telephone:
a"'..
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:Construction
State Lic. #:
Name of Contact Pe
%.,.. '; . l
Type:
Project type (circle one): New Add'n Alter Rep • Demo
. t.:
# Stories:
# Units:
Telephone # of Contactels
Estimated Value of Project:
, hh
0 OM 1(6C� "
0 NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rcc'd
TRACKING PERMIT FEES
Plan Sete
Plan Check submitted
Amount
Structural Cafes.
Reviewed, ready for corrections Plan Check Deposit. .
Truss C21cs.
Called Contact Person Pian Check Balance_
Tide 24 Calci.
Plans picked up Construction
Flood plain plan
Pians resubmitted Mechanical
Grading plan
r4 Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
1jd Review; ready for correctionsfissue Developer Impact Fee
Planning Approval.
Called Contact Person A.LP-P.
Pub. Wks. Appr, '
Date of permit issue
School Fees
Total Permit Fees
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER' S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
111WaRTANTI NOUCE TO ?RQPERTY OWNER
Dear Property Owner.
An. application for a building permit has been submitted inAYOur name listing yourself as the builder of the property
improvements specified at ') ID Q Qt IA,vp 6 VM vvl�
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make YOU awmm of your
debilities and possible risk you may incur by having this permit issnod in your name as the
Qwnex-Buikkr. We will not issue a building permit until yw-have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
Read and initial each statement below to signify you undiersumd or ver* this information.
I understand a frequent practice of unlicensed persons is to have the property owner obtain an "owner-Buildee,
ding permit that erroneously implies that the property owner is providing his or her own labor and material personak.1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on y PAY
I understand building permits are not required to be signed by property owners unless they are responsible for the
c nstruetion and are not hiring a licensed Contractor to assume this responsibility.
I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
f from potential financial risk by hiring a licensed Contractor and having the permit filed in his or hef name instead of my
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
is and contracts.
I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
y construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
der to and federal law.
understand if I am considered an "employer" under state and federal law, I must register with the state and federal
ernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
co nsation for each "employee." i also understand my failure to abide by these laws may subject me to serious financial
risk
*er
understand under California Contractors' State License Law, an Owner -Builder who builds single-family residentia
cannot legally build them with the intent to offer them for sale, unless all work is performed by license<
ctors and the number of structures does not exceed four within any calendar year, or all of the work is performa
tract with a licensed general building Contractor.
4ia
I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
i or personal ityuries sustained by any subsequent owner(s) that result from any latent construction defects in the
woriananship or materials.
I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
ce, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Di Sion of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-311-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
0. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the-
legally
helegally and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, [will abide by all
fable laws and requirements that govern Owner -Builders as well as employers.
KV12. 1 agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information t
provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a liesase, tare Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in'civd court. It is also
important for you to: understand that if an udkensed Contractor or employee of that individual or Frm is injured while vmddng
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wigr to hire Contractors,
you will be responmNo for verlfjriag v&Wm or not those Comractors are properly licensed and the status of their wmkcW
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issaiag.*e perm. Nota: A copy of the property owner's Mver'sMwnse, farm nQWdC r*ft1 or
other verification acceptable to the agency ise presented when the pemdt is i2rued to reify the property
owner's signature. % req b� �
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROpERTY OWNER'S BE. ALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY W 6
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OCN to c- ot6Q-
SA Diu -,Am
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VP -qt wa.�
T4t!t 4 4 a"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Reference: 46-870 Cameo Palms, Code Case No.—f 1-6355
To whom it may concern:
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
March 28, 2012
On March 21, 2012, an inspection was performed at the above referenced .
property to assess the scope of-unpermitted construction as noticed in code case number
11-6355. This letter is being provided as a list of corrective actions necessary to clear this
property of building code compliance issues. Please note that Riverside County records
have not yet been received and items are subject to change. Items are as follows:
[South Patio Cover]
A permit does not exist for the current construction. Options of compliance
include; demolish the existing construction; or provide plans for permitting to
keep the existing structure based on either the City Standard patio design or an
engineered design to be provided by the applicant. A complete site plan
demonstrating proper setbacks to all property lines is required for permitting. As
observed during site visit, the current construction does not comply with City
Standards for Covered Patios, meaning engineering would be necessary or that
alterations would be necessary to bring the patio into compliance with City
Standards.
k [North Patio Cover]
A permit does not exist for the current construction. Options of compliance
include; demolish the existing construction; or provide plans for permitting to
keep the existing structure based on an engineered design to be provided by the
applicant. A complete site plan demonstrating proper setbacks to all property lines
is required for permitting. Additionally, as observed during site visit, the current
construction includes electrical installations that have obvious code violations,
including incorrect conductor types and electrical equipment, and shall be
removed and safely terminated.
[Patio Cover Enclosure]
Alterations have taken place since the original dwelling and attached patio cover
were permitted and constructed — In addition to enclosing, the patio sliding doors
have been removed and air-conditioning has been installed. Patio enclosures are
required to comply with California Residential Code Appendix H which limits the
amount that may be enclosed, and regulates a minimum openness. Options of
compliance include; removing the air-conditioning, glazing and side walls, and
obtaining a permit to replace the removed sliding glass doors; or obtaining a
permit to enclose the patio per CRC Appendix H, which would still require the
removal of the air-conditioning unit, and the replacement of the sliding glass
doors.
[Garage]
Occupancy separation between garage and dwelling has been altered by the
addition of a door in the master bathroom. Doors separating a garage from a
dwelling are required to be self-closing, self -latching and a made of solid -wood,
solid -core steel, or honeycomb -core steel door, and be a minimum 1-3/8 inch in
thickness. Options of compliance include; removal of the door, and framing in the
opening — including insulating and installing 1/2" minimum thickness drywall on
each side; or obtaining a permit for the installation of an approved door.
Additionally, alterations have taken place without proper permits and inspections,
which include electrical installations and a mechanical air-conditioning unit.
Again, the electrical installations have obvious code violations, including
incorrect conductor types and electrical equipment, and shall be removed and
safely terminated. Installation of air-conditioning equipment in an un -insulated
garage is prohibited per the California Energy Code and shall be removed, and
have patched the opening made for its installation.
[Exterior]
Alterations have taken place without proper permits and inspections, which
include the relocation of mechanical equipment (condenser at south side of
dwelling) and various electrical installations for lighting and receptacles. Options
of compliance include; removal of all exterior electrical installations and relocate
mechanical equipment where originally installed; or obtain permits for the stated
violations and modify the installations to comply with California Building Codes.
These items are not to be construed as a home inspection that would be obtained in the
escrow process, nor do these items offer a comprehensive analysis of building code
violations throughout the entire residence. The items listed are descriptions of violations
that pertain to construction commenced without permits and corrective actions necessary
to clear this property of building code compliance issues.
Please contact me directly by telephone (760) 777-7018 or by e-mail (aortega,(&la-
uinta.or l) in you have questions regarding this notice.
Sincerely,
AJ Ortega
Building Inspector II